A nurse is assessing a 6-month-old infant. Which of the following findings should the nurse report to the provider?
Inability to sit without support
Inability to feed himself
Inability to raise head when in prone position
Inability to stand alone without support
The Correct Answer is C
The inability to raise the head when in a prone position is a finding that the nurse should report to the provider. By 6 months of age, infants should typically be able to raise their head and chest off the surface when placed in a prone position. This is an important milestone in motor development and is known as "head control." The nurse should report this finding to the provider to ensure further assessment and appropriate intervention if necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Children with congenital immunodeficiencies have compromised immune systems and may not be able to mount an adequate immune response to the vaccine. Administering live vaccines, such as MMR, to these children can potentially cause severe complications.
Correct Answer is C
Explanation
The appropriate pain rating scale to use for a 2-month-old infant is the FLACC (Face, Legs, Activity, Cry, Consolability) scale. The FLACC scale is commonly used for infants and young children who are unable to self-report their pain. It assesses facial expression, leg movement, activity level, cry, and ability to be consoled. Each category is scored on a scale of 0 to 2, and the total score provides an indication of the infant's pain level.
The PANAD scale and OUCHER scale are more commonly used for older children, while the FACE scale is specific to assessing pain in individuals with cognitive impairments.
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